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HomeMy WebLinkAboutBuilding Permit 14. 1156 I ENIIN n O OO ❑ O X 0 0 Eso 2 n n MW zq2s 31 hi 0 ■ Z @30Q �� ■ .� - - m o - 0 hi N © 0 �- §7 § \ Ni) m m \ 0 ql > z § )3 ■ 0 3 4. m k k k W. 000000 —j Z XI gm ® * gTi 7 -1 ■ aa ocA -t0c3-..■ § mx § -u 8 no \ i \ ' In' k0 a Pi § P7 m o \ 0 \ 0 n 1 § o 10000 2 xi 5 � n § § il a. >0 o c13 '0 '0 $ 2 A � � � o 41 z » mm % 4 _ -i , -1i 0 t�PRIop � �` 9 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd41',7/—K- c\ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT rQ , / I '''.'/- ...7W5) I.white File 2. Pink city PERMIT NO. 14 _II C, 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) I(o99 9 Ta Iva k-ct CoGi 4 • ?roc- LLQ /SA LEGAL DESCRIPTION(office use only) LOT// BLOCK y ADDITION t/t4f f S lF m,wow �� /mss PIDRS' 4/5-9, Q jS� OWNER. (Name) �a6\Quv oNCt ` .-:('�T1 -1(1 (Phone) 9 _4 44 cicto (Address) kk.C94 3' --t�vi v‘ cA CA-. cioc l_o, (v11.3 s -.. . BUILDER (Company Name) ,. — (Phone) al (Contact Nam (Phone) (Address) T V l �/C 1 ���'y is -4.-�] TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing ORe-Siding ttlLower Level Finish jg Fireplace ['Addition ['Alteration ['Utility Connection CODE: .R.C. ❑I.B.C. 0 Misc: Type of o truction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized age it for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Signature Contractor's License No. Date Permit Valuation ' OCC) Park Support Fee # $ Permit Fee $ (�6?•imoi SAC # $ • Plan Check Fee $ , O e, Water Meter Size 5/8"; 1"; $ State Surcharge $ Pressure Reducer $ . Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ SD PD Water Tower Fee # $ Mechanical Permit Fee $ 'I]]--•--- Builder's Deposit $ . Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 517/....rd TOTAL DUE $ ) m , I This Appl'/io r 'eco .•s Your Building Permit When pprov `� •- _ r1�) / Receipt No. 11 / .4 t 7 ate By %V /dto . 15 Buil.ing Official ate L� This is to certify that j requ•.t in the above application and accompanying cume is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the Vi •1. i-r constitutes a temporary Certificate of Zoni compl' nee and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. / r IVES I lC; 14 P.nning Director Date Special Conditions,if any 24 hour notice fo all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 • PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION REC • SITE ADDRESS i 9".11 NATURE OF WO- __ �I/r ' " - USE OF BUILDIN _ /1't'�i�� � 0 ' PERMIT NO. _ I A TE ISSUE IA r, J►��i -_ CONTRACTOR /6-6. 1- D• ,et ze,J PHONE 952 I ;,,' INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE -Fekte !B' N (Prior To Backfill) —' - TARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS R/SEPTIC FRAMING ;_% 1 fz, /, = INSULATION /z/i/4 ---�/� — ELECTRICAL — PLUMBING — HEATING FIREPLACE GAS LINE AIR TEST P RDER —' COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 4419/E2MRPIP -1214141r- FINALS Mil -t-N. IOR TO SODDING) 'BUILDING ��� 'ELECTRICAL `''` PLUMBING HEATING — DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850